“(brief summary of matters of concern) 6 Not investigating care concerns raised by…”
Dated 4 Apr 2025, from the coroner for Northamptonshire. Sent to 1 organisation or person.
A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.
The 56-day response deadline
All responses publishedReplies were due by 30 May 2025.
Organisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk; a reply may have been sent and not yet published.
- Report dated4 Apr 2025
- Deadline30 May 2025
- Published on judiciary.uk11 Apr 2025
- Today23 Oct 2026
Watch this report
We’ll email you when a response is published on judiciary.uk, or when the 56 days to reply end with none published there yet. Free, and you can stop with one click.
Responses from each recipient
| Sent to | Response |
|---|---|
| Northampton General Hospital NHS TrustNamed in the report as “Northampton General Hospital” | Response publishedPublished on judiciary.uk in April 2025. |
The coroner’s concerns
(brief summary of matters of concern) 6 Not investigating care concerns raised by clinicians employed by the Trust in August 2023, compounded by not following the recommendation in the Trust's own Structured Judgement Review (2024) to carry out a "detailed investigation" into the care concerns raised. The absence of such investigations, having been identified by Trust processes as having been recommended, means that the care concerns raised have not been investigated, and any underlying system issues contributing to these have not been identified or resolved. This means they are at risk of occurring again, putting patients' lives at risk.
An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.
- Source
- judiciary.uk, Prevention of Future Deaths reports, 2025-0169
- Added to Minute Book
- 8 Oct 2026
- Reuse
- We show short extracts and link to the original. We don’t host the full report.
Something wrong, such as a date or who it was sent to? Report a mistake
Is this report about someone close to you? You can ask us to remove names from our pages.
Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0
Ask about this report
AISummaries and questions, with page references. Pro and above.
Sign in to use